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Florida Statute 456.0635 - Full Text and Legal Analysis
Florida Statute 456.0635 | Lawyer Caselaw & Research
Link to State of Florida Official Statute
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The 2025 Florida Statutes

Title XXXII
REGULATION OF PROFESSIONS AND OCCUPATIONS
Chapter 456
HEALTH PROFESSIONS AND OCCUPATIONS: GENERAL PROVISIONS
View Entire Chapter
456.0635 Health care fraud; disqualification for license, certificate, or registration.
(1) Health care fraud in the practice of a health care profession is prohibited.
(2) Each board within the jurisdiction of the department, or the department if there is no board, shall refuse to admit a candidate to any examination and refuse to issue a license, certificate, or registration to any applicant if the candidate or applicant or any principal, officer, agent, managing employee, or affiliated person of the candidate or applicant:
(a) Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under chapter 409, chapter 817, or chapter 893, or a similar felony offense committed in another state or jurisdiction, unless the candidate or applicant has successfully completed a pretrial diversion or drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration unless the sentence and any subsequent period of probation for such conviction or plea ended:
1. For felonies of the first or second degree, more than 15 years before the date of application.
2. For felonies of the third degree, more than 10 years before the date of application, except for felonies of the third degree under s. 893.13(6)(a).
3. For felonies of the third degree under s. 893.13(6)(a), more than 5 years before the date of application;
(b) Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970, or 42 U.S.C. ss. 1395-1396, unless the sentence and any subsequent period of probation for such conviction or plea ended more than 15 years before the date of the application;
(c) Has been terminated for cause from the Florida Medicaid program pursuant to s. 409.913, unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent 5 years;
(d) Has been terminated for cause, pursuant to the appeals procedures established by the state, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent 5 years and the termination occurred at least 20 years before the date of the application; or
(e) Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities, except when such applicant is listed solely based on a default or delinquency on a student loan as provided in s. 120.82.

This subsection does not apply to an applicant for initial licensure, certification, or registration who was arrested or charged with a felony specified in paragraph (a) or paragraph (b) before July 1, 2009.

(3) The department shall refuse to renew a license, certificate, or registration of any applicant if the applicant or any principal, officer, agent, managing employee, or affiliated person of the applicant:
(a) Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under chapter 409, chapter 817, or chapter 893, or a similar felony offense committed in another state or jurisdiction, unless the applicant is currently enrolled in a pretrial diversion or drug court program that allows the withdrawal of the plea for that felony upon successful completion of that program. Any such conviction or plea excludes the applicant from licensure renewal unless the sentence and any subsequent period of probation for such conviction or plea ended:
1. For felonies of the first or second degree, more than 15 years before the date of application.
2. For felonies of the third degree, more than 10 years before the date of application, except for felonies of the third degree under s. 893.13(6)(a).
3. For felonies of the third degree under s. 893.13(6)(a), more than 5 years before the date of application.
(b) Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970, or 42 U.S.C. ss. 1395-1396 since July 1, 2009, unless the sentence and any subsequent period of probation for such conviction or plea ended more than 15 years before the date of the application.
(c) Has been terminated for cause from the Florida Medicaid program pursuant to s. 409.913, unless the applicant has been in good standing with the Florida Medicaid program for the most recent 5 years.
(d) Has been terminated for cause, pursuant to the appeals procedures established by the state, from any other state Medicaid program, unless the applicant has been in good standing with a state Medicaid program for the most recent 5 years and the termination occurred at least 20 years before the date of the application.
(e) Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities, except when such applicant is listed solely based on a default or delinquency on a student loan as provided in s. 120.82.

This subsection does not apply to an applicant for renewal of licensure, certification, or registration who was arrested or charged with a felony specified in paragraph (a) or paragraph (b) before July 1, 2009.

(4) Licensed health care practitioners shall report allegations of health care fraud to the department, regardless of the practice setting in which the alleged health care fraud occurred.
(5) The acceptance by a licensing authority of a licensee’s relinquishment of a license which is offered in response to or anticipation of the filing of administrative charges alleging health care fraud or similar charges constitutes the permanent revocation of the license.
History.s. 24, ch. 2009-223; s. 1, ch. 2012-64; s. 15, ch. 2016-230; s. 3, ch. 2017-41; s. 2, ch. 2020-125.

F.S. 456.0635 on Google Scholar

F.S. 456.0635 on CourtListener

Amendments to 456.0635


Annotations, Discussions, Cases:

Cases Citing Statute 456.0635

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Paylan, M.D. v. Depart. of Health, 226 So. 3d 296 (Fla. 2d DCA 2017).

Cited 1 times | Published | Florida 2nd District Court of Appeal | 2017 WL 2491562, 2017 Fla. App. LEXIS 8500

...Tallahassee, for Appellee. PER CURIAM. Christina Paylan appeals from a final administrative order from the Department of Health (Department) denying her application for renewal of her medical license. The Department's order was based on the application of section 456.0635(3)(a)(2), Florida Statutes (2016), which mandates denial of a renewal application from any applicant who has been convicted of or pleaded to a felony under chapters 409, 817, or 893, Florida Statutes,1 unless the applicant is eith...
...gram by the trial court, and that the ten-year period from the completion of her sentence and subsequent probationary period had not yet expired at the time she filed her application for renewal. Consequently, the Department was required to apply section 456.0635(3)(a)(2) in considering her application. In this appeal, Paylan is proceeding pro se....
...She contends that because she chose to take her criminal case to trial and because the criminal charges involved only a single prescription, she did not have the opportunity to participate in a drug court treatment program. Thus she argues that the application of the ten-year waiting period set forth in section 456.0635(3)(a)(2) is unjust as applied to her....
...tion, and requiring her to pay costs. During her suspension, Paylan's license came up for renewal, and she timely filed her application. On February 2, 2016, the Department notified Paylan that it denied her application pursuant to section 456.0635(3)(a) because she had been convicted of a third-degree felony violation of section 893.13(7)(a)(9)....
...and 893. Ultimately, the presiding officer filed a report recommending denial of Paylan's application based on her conviction for a third-degree felony under chapter 893. The presiding officer correctly concluded, as a matter of law, that section 456.0635(3)(a)(2) mandated the denial because Paylan was not enrolled in a qualified drug court program and because the ten-year period set forth in the statute had not yet expired....
...2d 815, 820 (Fla. 1983) (citing State ex rel. Biscayne Kennel Club v. Bd. of Bus. Reg., 276 So. 2d 823, 828 (Fla. 1973)). Paylan's argument is that the Department incorrectly interpreted the law by denying her application for renewal pursuant to section 456.0635(3)(a)(2)....
...Paylan's conviction under chapter 893 subjected her to both types of -5- proceedings, but that fact does not implicate either the administrative finality doctrine 3 or double jeopardy. Whether or not Paylan met the requirements for continued licensure under section 456.0635(3)(a)(2) was not an issue that was decided by the Board of Medicine in her disciplinary proceedings....
...proceedings and there has not been a significant change in circumstances. See id. -6- damages that it serves the goal of punishment' " (quoting State v. Knowles, 625 So. 2d 88, 91 (Fla. 5th DCA 1993))). Sections 456.0635(3)(a)(1)-(3) focus on a physician's continued fitness to practice his or her profession when they have been convicted of certain crimes....
...time4 after his or her sentence and any subsequent period of probation has concluded before seeking renewal. We therefore conclude that the Department was not prohibited by the administrative finality doctrine from following the mandate set forth in section 456.0635(3)(a)(2) and that it did not commit a double jeopardy violation in doing so. Paylan's argument that application of section 456.0635(3)(a)(2) is unjust appears to be based on the idea that section 456.0635(3)(a) fails to contain any exceptions for licensure renewal applicants who are in her exact predicament, i.e., applicants who are not ordered to complete or expressly offered a drug court program as part of the resolution of a criminal case and for whom the relevant time period has not yet expired. However, we see nothing in section 456.0635(3)(a) that requires a trial court to offer or to order an applicant to attend a drug court program....
...s been convicted of or entered a plea to a felony under the specified chapters unless the applicant is "currently enrolled in a drug court program that allows the withdrawal of the plea for that felony upon successful completion of that program." § 456.0635(3)(a). Thus Paylan had a choice at the time she was charged with the criminal offenses....
...She 4The other subsections of the statute provide different time periods barring renewal depending on the offense level and whether the crime constituted a violation of section 893.13(6)(a). -7- could go to trial and hope to be found not guilty, at which point section 456.0635(3)(a) would be inapplicable....
...Or she could voluntarily enter a pretrial drug court program, assuming she qualified for it.5 Either Paylan did not qualify for such a program or she chose not to participate in it. Consequently, while her angst and frustration about her situation are understandable, that is not a sufficient basis to bar application of section 456.0635(3)(a)(2). Because Paylan was not currently enrolled in a drug court program and because the ten-year period specified in section 456.0635(3)(a)(2) had not yet expired, the Department was mandated to deny her renewal application due to her conviction of a felony under chapter 893....
...Hillsborough County Drug Pretrial Intervention Program FAQs, http://www.fljud13.org/CourtPrograms/DrugCourtPrograms/DrugPretrialIntervention/FA Qs.aspx (last visited May 18, 2017). -8- In enacting section 456.0635(3)(a), the legislature clearly wanted to create an opportunity for certain first-time offenders to be able to renew their medical license as long as they are progressing in a drug court treatment program. The incentive in picking that option is that an applicant would not have to wait for the expiration of the time periods set forth in sections 456.0635(3)(a)(1)-(3). Rather, the applicant is only required to be "currently enrolled" in such a program when their application for renewal is processed. § 456.0635(3)(a)....
...1999) ("We are not at liberty to add words to statutes that were not placed there by the [l]egislature."); Commercial Coating Corp., 548 So. 2d at 679 ("In construing statutes[,] courts may not invoke a limitation or add words to the statute not placed there by the legislature."). Section 456.0635(3)(a)(2) is very clear, and under the facts and circumstances of this case, the Department lacked the discretion to do anything except to deny the renewal of Paylan's license....
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Paylan, M.D. v. Dep't of Health (Fla. 1st DCA 2024).

Published | Florida 1st District Court of Appeal

...The suspension was part of a penalty imposed against her license (along with a $5,000 administrative fine) following a formal evidentiary hearing. The non-renewal came two years later, following Paylan’s application and an informal agency hearing. The department’s non-renewal order was rendered under section 456.0635, Florida Statutes, based on her controlled- substance conviction, a third-degree-felony violation of section 893.13(7)(a)9....
...any subsequent period of probation for such conviction or plea ended: .... 2. For felonies of the third degree, more than 10 years before the date of application, except for felonies of the third degree under s. 893.13(6)(a). § 456.0635(3)(a)2., Fla....
...conduct” and that application of the statute was “unjust.” Paylan v. Dep’t of Health, 226 So. 3d 296, 298–99 (Fla. 2d DCA 2017). She then sued the department in the Sixth Judicial Circuit, raising as-applied and facial constitutional challenges to section 456.0635(3)(a)2. According to Paylan’s complaint, section 456.0635(3)(a)2....
...fter having asserted her challenge in the Second District, the claim in the trial court was barred under this judicial policy. So again, the suit properly was dismissed. There is one last reason to affirm. Paylan asserted in her complaint that section 456.0635(3)(a)2., Florida Statutes, is unconstitutional on its face....

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